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We help businesses succeed with by providing Working Capital to Fund Equipment Purchases, Inventory, Renovations, or Location Expansions.

Apply Now - pdf - Apply Now

PDF Application Download

1Basic Information

2Owner Information

3Business Information

Business Information
Legal/Corporate Name:*
DBA:
Physical Address:*
City:*
Zip:*
Business Telephone #:*
Fax #:
Email:*
Website:
Date Business Started:*
Date Legal Entity Created:*
State Legal Entity Registered:*
Federal Tax ID:*
Type of Entity (Cross one):
Sole prop Partnership Corp LLC
Other
Type of Business (Tick all that Apply):
E-commerce Retail Restaurant
Grocery Automotive Transportation
Other
Product/Service Sold:

Merchant/Owner Information
Corporate Officer/Owner Name:*
Title:*
Ownership %:*
Home Address:*
City:*
State:*
Zip:*
SSN:*
DOB:*
Home #:*
Cell #:*
By checking this box, I agree to receive up to three SMS per week about business funding from Clover Capital. Reply STOP to unsubscribe. Message frequency may vary. Message & Data rates may apply.

By clicking "Continue," you (i) authorize Clover Capital to deliver telemarketing calls and messages to the telephone number provided above, using pre-recorded/artificial voice messages, text messages and/or automated dialing devices. To avoid providing this consent, you may apply by contacting us directly; and (ii) acknowledge that you have read the Clover Capital Terms and Conditions and Privacy Policy and understand that you may opt out of receiving communications as provided in the Privacy Policy.
Co-Owner Information
Corporate Officer/Owner Name:
Title:
Ownership %:
Home Address:
City:
State:
Zip:
SSN:
DOB:
Home #:
Cell #:

Business Property Information
Landlord or Mortgage Bank (Business location):*
Monthly Rent/Mortgage Payment:*
Lease expiration:*
Landlord/Mortgage Contact Name:*
Contact #:*
Business Trade References
Business Name:*
Contact Name and/or Account #:*
Phone #:*
Business Name:*
Contact Name and/or Account#:*
Phone #:*
Other Information
Current CC Processing Company:
Type/Number of Terminals:
Monthly Volume:
Please list any open MCA or Loans/Name of funder:
Original funded Amount:
Current Balance:
Amount Requested:*
Use of Proceeds:
Last four months of Bank Statements:

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PDF Application
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Telephone: 1 (877) 446-2194
Email: Info@CapitalClover.com

Address:
333 NE 24th STE 409
Miami, FL 33137
&
1800 S. Australian Ave Suite 205
West Palm Beach, FL 33409

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Business Loans

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